| NPI | 1942936372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 109422) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12013845A) |
| 1223G0001X Dentist, General Practice (Licence: CA 109422) | |
| 122300000X Dentist (Licence: IN 12013845A) | |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2023-09-18 |